NHA Line Of Service (Time Frames/Specific Amounts
To Remember) – Q&A
Where changes are made to charges for other items and services that the
facility offers, the facility must inform the resident in writing at least
Correct Ans - 60 days prior to implementation of the change.
The facility must provide the resident with access to personal and medical
records pertaining to their self, upon an oral and written request, in the
form and format requested by the individual, if it is readily producible in
such form and format (including in an electronic form or format when such
records are maintained electronically) or if not, in a readable hard copy
form or such other form agreed to by the facility and the individual within
Correct Ans - 24 hours
The facility must allow the resident to obtain a copy of the records or any
portion there of upon request and Correct Ans - 2 working days
advance notice to the facility
The facility must have reports with respect to any surveys, certifications,
and complaint investigations made respecting the facility along with plans
of correction in effect with respect to the facility, available for any
individual to review upon request. Correct Ans - 3 preceding years
The facility must notify each resident that receives Medicaid benefits when
the amount in the residents account reaches Correct Ans - $200
less than the SSI resource limit
The facility must deposit the resident's personal funds in excess of $_____ in
an interest bearing account that is separate from any of the facility's
operating accounts, and that credits all interest earned on resident's funds
to that account. Correct Ans - $50
(iv) The facility must refund to the resident or resident representative any
and all refunds due the resident within Correct Ans - 30 days from
the resident's date of discharge from the facility.
,Comfortable and safe temperature levels. Facilities initially certified after
October 1, 1990 must maintain a temperature range of Correct Ans -
71 to 81 °F
Maintaining evidence demonstrating the results of all grievances for a
period of no less than Correct Ans - 3 years from the issuance of
the grievance decision.
(B) Each covered individual shall report immediately, but not later than
_______________ after forming the suspicion, if the events that cause the
suspicion result in serious bodily injury, or not later than __________ if the
events that cause the suspicion do not result in serious bodily injury.
Correct Ans - 2 hours or 24 hours
Ensure that all alleged violations involving abuse, neglect, exploitation or
mistreatment, including injuries of unknown source and misappropriation
of resident property, are reported immediately, but not later than
________________ after the allegation is made, if the events that cause the
allegation involve abuse or result in serious bodily injury Correct Ans -
2 hours
not later than _________ hours if the events that cause the allegation do not
involve abuse and do not result in serious bodily injury, to the
administrator of the facility and to other officials (including to the State
Survey Agency and adult protective services where state law provides for
jurisdiction in long-term care facilities) in accordance with State law
through established procedures. Correct Ans - 24
Report the results of all investigations to the administrator or his or her
designated representative and to other officials in accordance with State
law, including to the State Survey Agency, within ________________________ of
the incident, and if the alleged violation is verified appropriate corrective
action must be taken. Correct Ans - 5 working days
the notice of transfer or discharge required under this section must be
made by the facility at least _______ days before the resident is transferred
or discharged. Correct Ans - 30
, Comprehensive careplan. Within ______ calendar days after admission,
excluding readmissions in which there is no significant change in the
resident's physical or mental condition. (For purposes of this section,
"readmission" means a return to the facility following a temporary absence
for hospitalization or for therapeutic leave.) Correct Ans - 14
Comprehensive care plan. Within _______ calendar days after the facility
determines, or should have determined, that there has been a significant
change in the resident's physical or mental condition. (For purposes of this
section, a "significant change" means a major decline or improvement in
the resident's status that will not normally resolve itself without further
intervention by staff or by implementing standard disease-related clinical
interventions, that has an impact on more than one area of the resident's
health status, and requires interdisciplinary review or revision of the care
plan, or both.) Correct Ans - 14
Quarterly review assessment. A facility must assess a resident using the
quarterly review instrument specified by the State and approved by CMS
not less frequently than Correct Ans - once every 3 months.
A facility must maintain all resident assessments completed within the
previous ________________ months in the resident's active record and use the
results of the assessments to develop, review, and revise the resident's
comprehensive plan of care. Correct Ans - 15 months
The baseline care plan must be developed within ______ hours. and must
include: Correct Ans - 48 hours of a resident's admission.
(A) Initial goals based on admission orders.
(B) Physician orders.
(C) Dietary orders.
(D) Therapy services.
(E) Social services.
(F) PASARR recommendation, if applicable.
A comprehensive care plan must be Correct Ans - (i) Developed
within 7 days after completion of the comprehensive assessment.
The comprehensive care plan must Correct Ans - (ii) Prepared by
an interdisciplinary team, that includes but is not limited to—
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